Abstract
Substance abuse is a heterogenous disorder that necessitates classification for purposes of evaluation and treatment. Although a large number of typologies have been generated, the research has mostly focussed on alcoholism. The typologies of ‘age at onset’ and Cloninger's Type 1/Type2′ have been extensively researched even though there is a lack of adequate validation. The present review of various typologies focusses more on the conceptual and methodological issues. A critique of the typological work is presented; highlighting the paucity of Indian research in this important area of substance abuse.
Keywords: Typology, classification, alcoholism, drug abuse
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- Alterman A. I., McDermott P. A., Cacciola J. S., Rutherford M. J., Boardman C. R., McKay J. R., Cook T. G. A typology of antisociality in methadone patients. J Abnorm Psychol. 1998 Aug;107(3):412–422. doi: 10.1037//0021-843x.107.3.412. [DOI] [PubMed] [Google Scholar]
- Babor T. F., Dolinsky Z. S., Meyer R. E., Hesselbrock M., Hofmann M., Tennen H. Types of alcoholics: concurrent and predictive validity of some common classification schemes. Br J Addict. 1992 Oct;87(10):1415–1431. doi: 10.1111/j.1360-0443.1992.tb01921.x. [DOI] [PubMed] [Google Scholar]
- Babor T. F., Hofmann M., DelBoca F. K., Hesselbrock V., Meyer R. E., Dolinsky Z. S., Rounsaville B. Types of alcoholics, I. Evidence for an empirically derived typology based on indicators of vulnerability and severity. Arch Gen Psychiatry. 1992 Aug;49(8):599–608. doi: 10.1001/archpsyc.1992.01820080007002. [DOI] [PubMed] [Google Scholar]
- Babor T. F. Introduction. Method and theory in the classification of alcoholics. Ann N Y Acad Sci. 1994 Feb 28;708:1–6. doi: 10.1111/j.1749-6632.1994.tb24693.x. [DOI] [PubMed] [Google Scholar]
- Berzins J. I., Ross W. F., English G. E., Haley J. V. Subgroups among opiate addicts: a typological investigation. J Abnorm Psychol. 1974 Feb;83(1):65–73. doi: 10.1037/h0036237. [DOI] [PubMed] [Google Scholar]
- Brooner R. K., King V. L., Kidorf M., Schmidt C. W., Jr, Bigelow G. E. Psychiatric and substance use comorbidity among treatment-seeking opioid abusers. Arch Gen Psychiatry. 1997 Jan;54(1):71–80. doi: 10.1001/archpsyc.1997.01830130077015. [DOI] [PubMed] [Google Scholar]
- Brown J., Babor T. F., Litt M. D., Kranzler H. R. The type A/type B distinction. Subtyping alcoholics according to indicators of vulnerability and severity. Ann N Y Acad Sci. 1994 Feb 28;708:23–33. doi: 10.1111/j.1749-6632.1994.tb24695.x. [DOI] [PubMed] [Google Scholar]
- Bucholz K. K., Heath A. C., Reich T., Hesselbrock V. M., Kramer J. R., Nurnberger J. I., Jr, Schuckit M. A. Can we subtype alcoholism? A latent class analysis of data from relatives of alcoholics in a multicenter family study of alcoholism. Alcohol Clin Exp Res. 1996 Nov;20(8):1462–1471. doi: 10.1111/j.1530-0277.1996.tb01150.x. [DOI] [PubMed] [Google Scholar]
- Buydens-Branchey L., Branchey M. H., Noumair D. Age of alcoholism onset. I. Relationship to psychopathology. Arch Gen Psychiatry. 1989 Mar;46(3):225–230. doi: 10.1001/archpsyc.1989.01810030031004. [DOI] [PubMed] [Google Scholar]
- Buydens-Branchey L., Branchey M. H., Noumair D., Lieber C. S. Age of alcoholism onset. II. Relationship to susceptibility to serotonin precursor availability. Arch Gen Psychiatry. 1989 Mar;46(3):231–236. doi: 10.1001/archpsyc.1989.01810030037005. [DOI] [PubMed] [Google Scholar]
- Cancrini L., Cingolani S., Compagnoni F., Costantini D., Mazzoni S. Juvenile drug addiction: a typology of heroin addicts and their families. Fam Process. 1988 Sep;27(3):261–271. doi: 10.1111/j.1545-5300.1988.00261.x. [DOI] [PubMed] [Google Scholar]
- Cancrini L., Costantini D., Mazzoni S. Drug addiction among young people: a study of typology and its relevance to treatment programmes. Bull Narc. 1985 Apr-Sep;37(2-3):125–133. [PubMed] [Google Scholar]
- Clark D. B., Kirisci L., Tarter R. E. Adolescent versus adult onset and the development of substance use disorders in males. Drug Alcohol Depend. 1998 Jan 1;49(2):115–121. doi: 10.1016/s0376-8716(97)00154-3. [DOI] [PubMed] [Google Scholar]
- Cloninger C. R., Bohman M., Sigvardsson S. Inheritance of alcohol abuse. Cross-fostering analysis of adopted men. Arch Gen Psychiatry. 1981 Aug;38(8):861–868. doi: 10.1001/archpsyc.1981.01780330019001. [DOI] [PubMed] [Google Scholar]
- Cloninger C. R. Neurogenetic adaptive mechanisms in alcoholism. Science. 1987 Apr 24;236(4800):410–416. doi: 10.1126/science.2882604. [DOI] [PubMed] [Google Scholar]
- Epstein E. E., Kahler C. W., McCrady B. S., Lewis K. D., Lewis S. An empirical classification of drinking patterns among alcoholics: binge, episodic, sporadic, and steady. Addict Behav. 1995 Jan-Feb;20(1):23–41. doi: 10.1016/0306-4603(94)00043-x. [DOI] [PubMed] [Google Scholar]
- Fenaughty A. M., Fisher D. G. High-risk sexual behavior among drug users. The utility of a typology of alcohol variables. Sex Transm Dis. 1998 Jan;25(1):38–43. doi: 10.1097/00007435-199801000-00008. [DOI] [PubMed] [Google Scholar]
- Frances R. J., Bucky S., Alexopoulos G. S. Outcome study of familial and nonfamilial alcoholism. Am J Psychiatry. 1984 Nov;141(11):1469–1471. doi: 10.1176/ajp.141.11.1469. [DOI] [PubMed] [Google Scholar]
- Gilligan S. B., Reich T., Cloninger C. R. Alcohol-related symptoms in heterogeneous families of hospitalized alcoholics. Alcohol Clin Exp Res. 1988 Oct;12(5):671–678. doi: 10.1111/j.1530-0277.1988.tb00263.x. [DOI] [PubMed] [Google Scholar]
- Glenn S. W., Nixon S. J. Applications of Cloninger's subtypes in a female alcoholic sample. Alcohol Clin Exp Res. 1991 Oct;15(5):851–857. doi: 10.1111/j.1530-0277.1991.tb00612.x. [DOI] [PubMed] [Google Scholar]
- Glenn S. W., Nixon S. J. Investigation of Cloninger's subtypes in a male alcoholic sample: applications and implications. J Clin Psychol. 1996 Mar;52(2):219–230. doi: 10.1002/(SICI)1097-4679(199603)52:2<219::AID-JCLP13>3.0.CO;2-N. [DOI] [PubMed] [Google Scholar]
- Goodwin D. W., Crane J. B., Guze S. B. Felons who drink: an 8-year follow-up. Q J Stud Alcohol. 1971 Mar;32(1):136–147. [PubMed] [Google Scholar]
- Hauser J., Rybakowski J. Three clusters of male alcoholics. Drug Alcohol Depend. 1997 Dec 15;48(3):243–250. doi: 10.1016/s0376-8716(97)00130-0. [DOI] [PubMed] [Google Scholar]
- Irwin M., Schuckit M., Smith T. L. Clinical importance of age at onset in type 1 and type 2 primary alcoholics. Arch Gen Psychiatry. 1990 Apr;47(4):320–324. doi: 10.1001/archpsyc.1990.01810160020003. [DOI] [PubMed] [Google Scholar]
- Johnson E. O., van den Bree M. B., Gupman A. E., Pickens R. W. Extension of a typology of alcohol dependence based on relative genetic and environmental loading. Alcohol Clin Exp Res. 1998 Oct;22(7):1421–1429. doi: 10.1111/j.1530-0277.1998.tb03930.x. [DOI] [PubMed] [Google Scholar]
- Johnson E. O., van den Bree M. B., Pickens R. W. Subtypes of alcohol-dependent men: a typology based on relative genetic and environmental loading. Alcohol Clin Exp Res. 1996 Nov;20(8):1472–1480. doi: 10.1111/j.1530-0277.1996.tb01151.x. [DOI] [PubMed] [Google Scholar]
- Kendler K. S., Karkowski L. M., Prescott C. A., Pedersen N. L. Latent class analysis of temperance board registrations in Swedish male-male twin pairs born 1902 to 1949: searching for subtypes of alcoholism. Psychol Med. 1998 Jul;28(4):803–813. doi: 10.1017/s003329179800676x. [DOI] [PubMed] [Google Scholar]
- Lamparski D. M., Roy A., Nutt D. J., Linnoila M. The criteria of Cloninger et al. and von Knorring et al. for subgrouping alcoholics: a comparison in a clinical population. Acta Psychiatr Scand. 1991 Dec;84(6):497–502. doi: 10.1111/j.1600-0447.1991.tb03183.x. [DOI] [PubMed] [Google Scholar]
- Lee G. P., DiClimente C. C. Age of onset versus duration of problem drinking on the Alcohol Use Inventory. J Stud Alcohol. 1985 Sep;46(5):398–402. doi: 10.15288/jsa.1985.46.398. [DOI] [PubMed] [Google Scholar]
- Morey L. C., Skinner H. A., Blashfield R. K. A typology of alcohol abusers: correlates and implications. J Abnorm Psychol. 1984 Nov;93(4):408–417. doi: 10.1037//0021-843x.93.4.408. [DOI] [PubMed] [Google Scholar]
- Patton D., Barnes G. E., Murray R. P. A personality typology of smokers. Addict Behav. 1997 Mar-Apr;22(2):269–273. doi: 10.1016/s0306-4603(96)00004-4. [DOI] [PubMed] [Google Scholar]
- Read M. R., Penick E. C., Powell B. J., Nickel E. J., Bingham S. F., Campbell J. Subtyping male alcoholics by family history of alcohol abuse and co-occurring psychiatric disorder: a bi-dimensional model. Br J Addict. 1990 Mar;85(3):367–378. doi: 10.1111/j.1360-0443.1990.tb00653.x. [DOI] [PubMed] [Google Scholar]
- Sannibale C., Hall W. An evaluation of Cloninger's typology of alcohol abuse. Addiction. 1998 Aug;93(8):1241–1249. doi: 10.1046/j.1360-0443.1998.938124112.x. [DOI] [PubMed] [Google Scholar]
- Schuckit M., Pitts F. N., Jr, Reich T., King L. J., Winokur G. Alcoholism. I. Two types of alcoholism in women. Arch Gen Psychiatry. 1969 Mar;20(3):301–306. doi: 10.1001/archpsyc.1969.01740150045007. [DOI] [PubMed] [Google Scholar]
- Selvaraj V., Suveera P., Ashok M. V., Appaya M. P. Women alcoholics : are they different from men alcoholics ? Indian J Psychiatry. 1997 Oct;39(4):288–293. [PMC free article] [PubMed] [Google Scholar]
- Shaffer J. W., Wegner N., Kinlock T. W., Nurco D. N. An empirical typology of narcotic addicts. Int J Addict. 1983 Feb;18(2):183–194. doi: 10.3109/10826088309027351. [DOI] [PubMed] [Google Scholar]
- Sigvardsson S., Bohman M., Cloninger C. R. Replication of the Stockholm Adoption Study of alcoholism. Confirmatory cross-fostering analysis. Arch Gen Psychiatry. 1996 Aug;53(8):681–687. doi: 10.1001/archpsyc.1996.01830080033007. [DOI] [PubMed] [Google Scholar]
- Varma V. K., Basu D., Malhotra A., Sharma A., Mattoo S. K. Correlates of early- and late-onset alcohol dependence. Addict Behav. 1994 Nov-Dec;19(6):609–619. doi: 10.1016/0306-4603(94)90016-7. [DOI] [PubMed] [Google Scholar]
- Watson C. G., Tilleskjor C., Jacobs L. The construct validity of an aftereffect-based subtyping system for alcoholics. J Clin Psychol. 1990 Jul;46(4):507–517. doi: 10.1002/1097-4679(199007)46:4<507::aid-jclp2270460420>3.0.co;2-l. [DOI] [PubMed] [Google Scholar]
- Winokur G., Reich T., Rimmer J., Pitts F. N., Jr Alcoholism. 3. Diagnosis and familial psychiatric illness in 259 alcoholic probands. Arch Gen Psychiatry. 1970 Aug;23(2):104–111. doi: 10.1001/archpsyc.1970.01750020008002. [DOI] [PubMed] [Google Scholar]
- von Knorring A. L., Bohman M., von Knorring L., Oreland L. Platelet MAO activity as a biological marker in subgroups of alcoholism. Acta Psychiatr Scand. 1985 Jul;72(1):51–58. doi: 10.1111/j.1600-0447.1985.tb02570.x. [DOI] [PubMed] [Google Scholar]
